Peter Lawrence Fath, MED, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003627 Issued in PA

Practice address

414 Commerce Dr
Fort Washington, PA 19034-2618

Phone

(215) 641-0700

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1861692618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "address_2": "TEMPLE ORTHOPAEDICS, 6TH FLOOR OUTPATIENT BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 COMMERCE DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342618",
            "telephone_number": "215-641-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATH",
        "first_name": "PETER",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "MED, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Chandlee Fahey, PH.D.
• Allison Fair, PMHNP-BC
• Rajan D Faldu, D.M.D
• Family Practice Associates of Upper Dublin
• Sheba Farvardin, MSW, LCSW
• Lucinda Judith Faulkner, CRNP
• Susan Fellheimer, MD
• Vavah Fiase, PA-C
• Finite Health Inc.
• Rebecca Fisher, PSYD

• Athletic Trainer in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.